Organization
GI DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E ALVAREZ M.D. (MEDICAL DIRECTOR)
(337) 365-6591
Entity
Organization
Contact information
Practice address
1100 ANDRE ST, STE 300, NEW IBERIA, LA 70563-2159
(337) 365-6591
(337) 364-6094
Mailing address
1100 ANDRE ST, STE 300, NEW IBERIA, LA 70563-2159
(337) 365-6591
(337) 364-6094
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465844
—
LA
Enumeration date
02/23/2006
Last updated
08/22/2020
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